A strategy that worked with managing HIV, is reducing high blood pressure in Ghana, according to a GACD funded report.

Getting nurses to manage hypertension control in Ghana lowered blood pressure more than just providing health insurance. The growing burden of hypertension and other chronic diseases in Sub-Saharan Africa is made worse by lack of health insurance, high out-of-pocket costs, and a shortage of healthcare providers. The healthcare workforce crisis is particularly acute in Ghana, where in 2015, there were only one physician and nine nurses to 10,000 people compared to 19 physicians and 49 nurses to 10,000 people in North America. Given such limited resources, effective strategies are needed to manage chronic diseases, such as hypertension. To date, implementation of systems-level strategies to reduce these barriers to health has been lacking.

In the first study of its kind conducted in Sub-Saharan Africa, a team of researchers led by NYU School of Medicine in collaboration with Kwame Nkrumah University of Science & Technology found that task-shifting (delegating tasks from physicians to nurses and other non-physician workers), when combined with access to health insurance, was an effective strategy in reducing systolic blood pressure among adults with newly-diagnosed uncomplicated hypertension.


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